CN205994664U - Spine portion pressure sore prevention device before patient with severe symptoms's prone position mechanical ventilation treatment ilium - Google Patents
Spine portion pressure sore prevention device before patient with severe symptoms's prone position mechanical ventilation treatment ilium Download PDFInfo
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- CN205994664U CN205994664U CN201620537987.5U CN201620537987U CN205994664U CN 205994664 U CN205994664 U CN 205994664U CN 201620537987 U CN201620537987 U CN 201620537987U CN 205994664 U CN205994664 U CN 205994664U
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- 208000004210 Pressure Ulcer Diseases 0.000 title claims abstract description 25
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Abstract
本实用新型涉及一种重症患者俯卧位机械通气治疗用髂前棘部防压疮装置，包括由凝胶材料成型的条形支撑体，所述条形支撑体的上端中部设有让位凹槽，该让位凹槽两端沿宽度方向贯穿支撑体，该凹槽包括位于凹槽底部的内凹的第一弧面，所述第一弧面的一侧通过外凸的第二弧面与凹槽一侧的用于支撑人体髂前棘部的第一垫面平滑过渡连接，所述第一弧面的另一侧通过外凸的第三弧面与凹槽另一侧的用于支撑人体髂前棘部的第二垫面平滑过渡连接。其有效防止了髂前棘部压疮的产生，且其使得俯卧位通气效果好，患者舒适度高。
The utility model relates to an anterior iliac spine anti-pressure sore device for prone position mechanical ventilation treatment of critically ill patients, which comprises a strip-shaped support body formed of gel material, and the middle part of the upper end of the strip-shaped support body is provided with a relief groove , the two ends of the relief groove pass through the support body along the width direction, the groove includes a concave first arc surface at the bottom of the groove, one side of the first arc surface is connected with the second convex arc surface The first pad surface on one side of the groove for supporting the anterior iliac spine of the human body is smoothly transitioned, and the other side of the first arc surface is connected to the other side of the groove for supporting through the convex third arc surface. The smooth transition connection of the second pad surface of the anterior iliac spine of the human body. It effectively prevents the occurrence of pressure sores on the anterior iliac spine, and it makes the prone position have good ventilation effect and high comfort for patients.
Description
技术领域technical field
本实用新型涉及一种医疗用品，特别涉及一种重症患者俯卧位机械通气治疗用髂前棘部防压疮装置。The utility model relates to a medical product, in particular to an anterior iliac spine anti-pressure sore device for mechanical ventilation in prone position of critically ill patients.
背景技术Background technique
急性呼吸窘迫综合征（acute respiratory distresssyndrome，ARDS）是指严重感染、创伤、休克等肺内外疾病袭击后出现的以肺泡毛细血管损伤为主要表现的临床综合征，属于急性肺损伤（acute lung injury，ALI）的严重阶段或类型。ARDS是重症医学领域严重威胁患者生命的常见病症，近年来发现对ARDS病人施行俯卧位通气能有效地改善其氧合状况，影响机制在于肺组织通气时，血流的重新分布，俯卧位通气临床效果好且经济方便。但由于俯卧位通气的每次治疗时间较长，通常为6-8 h，由于一般人的正常毛细血管最大承受压力为33mmHg，最长承受时间为2h，如果>2h，皮肤及皮下组织将会出现不可逆性损害，从而导致压疮，因此，在实施俯卧位通气救治过程中患者髂前上棘容易发生不同程度的压疮，尤其是老年患者心脏血管功能差，毛细血管弹性不佳，末梢循环功能减退，局部受压后更容易发生皮肤及皮下组织的缺血缺氧，更容易发生压疮。怎样解决俯卧位通气救治过程中患者髂前上棘容易发生不同程度的压疮的问题，长期以来一直是医学界研究的重点。Acute respiratory distress syndrome (ARDS) refers to the clinical syndrome mainly manifested by alveolar capillary damage after severe infection, trauma, shock and other diseases inside and outside the lungs. It belongs to acute lung injury (acute lung injury, Severe stage or type of ALI). ARDS is a common disease that seriously threatens the lives of patients in the field of intensive care medicine. In recent years, it has been found that performing prone position ventilation on ARDS patients can effectively improve their oxygenation status. The mechanism of influence lies in the redistribution of blood flow when lung tissue is ventilated. Effective and economical and convenient. However, each treatment time of prone position ventilation is relatively long, usually 6-8 hours. Since the normal capillaries of ordinary people can bear the maximum pressure of 33mmHg, the longest bearing time is 2 hours. If it exceeds 2 hours, the skin and subcutaneous tissue will appear. Irreversible damage, which leads to pressure sores. Therefore, in the process of prone position ventilation, patients are prone to pressure sores of different degrees in the anterior superior iliac spine, especially in elderly patients with poor cardiovascular function, poor capillary elasticity, and poor peripheral circulatory function. After local pressure, ischemia and hypoxia of the skin and subcutaneous tissue are more likely to occur, and pressure sores are more likely to occur. How to solve the problem of different degrees of pressure ulcers in the anterior superior iliac spine of patients during prone position ventilation has been the focus of medical research for a long time.
发明内容Contents of the invention
本实用新型的目的是针对现有技术存在的不足，提供一种重症患者俯卧位机械通气治疗用髂前棘部防压疮装置，其对髂前棘部皮肤进行减压保护，有效防止了髂前棘部压疮的产生，且其使得俯卧位通气效果好，患者舒适度高。The purpose of this utility model is to address the deficiencies in the prior art, to provide an anterior iliac spine anti-pressure sore device for prone position mechanical ventilation treatment of critically ill patients, which can decompress and protect the skin of the anterior iliac spine, effectively preventing the The occurrence of pressure sores on the anterior spine, and it makes the prone position good ventilation effect and high patient comfort.
本实用新型的目的是采用下述方案实现的：一种重症患者俯卧位机械通气治疗用髂前棘部防压疮装置，由凝胶材料成型的条形支撑体，所述条形支撑体的上端中部设有让位凹槽，该让位凹槽两端沿宽度方向贯穿支撑体，该凹槽包括位于凹槽底部的内凹的第一弧面，所述第一弧面的一侧通过外凸的第二弧面与凹槽一侧的用于支撑人体髂前棘部的第一垫面平滑过渡连接，所述第一弧面的另一侧通过外凸的第三弧面与凹槽另一侧的用于支撑人体髂前棘部的第二垫面平滑过渡连接。The purpose of this utility model is achieved by adopting the following scheme: an anterior iliac spine anti-pressure sore device for the prone position mechanical ventilation treatment of critically ill patients, a strip-shaped support formed by gel material, the strip-shaped support The middle part of the upper end is provided with a relief groove, the two ends of the relief groove penetrate the support body along the width direction, and the groove includes a concave first arc surface at the bottom of the groove, and one side of the first arc surface passes through The second convex arc surface is smoothly connected with the first pad surface on one side of the groove for supporting the anterior iliac spine of the human body, and the other side of the first arc surface is connected to the concave surface through the third convex arc surface. The second pad surface on the other side of the groove is used for supporting the anterior iliac spine of the human body for smooth transition connection.
所述条形支撑体包括由凝胶材料成型的条形支撑体本体，条形支撑体本体外包裹有硅胶膜。The strip-shaped support body includes a strip-shaped support body body formed of gel material, and the strip-shaped support body body is wrapped with a silica gel membrane.
所述凝胶材料为水凝胶或硅凝胶。The gel material is hydrogel or silicone gel.
所述条形支撑体采用硅胶成型而成。The strip-shaped support body is molded by silica gel.
所述条形支撑体的长度为45cm～65cm。The length of the strip-shaped support body is 45cm-65cm.
所述条形支撑体的高度为8cm～12cm。The height of the strip-shaped support body is 8cm-12cm.
所述条形支撑体的让位凹槽的深度为6cm～10cm。The depth of the relief groove of the strip support body is 6cm-10cm.
所述条形支撑体的宽度为10cm～17cm。The strip-shaped support has a width of 10cm-17cm.
本实用新型具有的优点是：本实用新型的所述条形支撑体的上端中部设有让位凹槽，该让位凹槽两端沿宽度方向贯穿支撑体，便于尿管等的安装。该凹槽包括位于凹槽底部的内凹的第一弧面，所述第一弧面的一侧通过外凸的第二弧面与凹槽一侧的用于支撑人体髂前棘部的第一垫面平滑过渡连接，所述第一弧面的另一侧通过外凸的第三弧面与凹槽另一侧的用于支撑人体髂前棘部的第二垫面平滑过渡连接，两垫面将患者垫起，保证腹部的活动，使得俯卧位通气效果好。所述条形支撑体采用凝胶材料成型，其对患者髂前棘部皮肤进行减压保护，有效防止了患者髂前棘部压疮的产生，该结构的支撑体专门针对重症患者设计，使得俯卧位通气效果好，患者舒适度高。The utility model has the advantage that: the middle part of the upper end of the strip-shaped support body of the utility model is provided with a relief groove, and the two ends of the relief groove penetrate the support body along the width direction, which is convenient for the installation of urinary catheters and the like. The groove includes a concave first arc surface at the bottom of the groove, and one side of the first arc surface passes through the second convex arc surface and the first arc surface on one side of the groove for supporting the anterior iliac spine of the human body. A cushion surface is smoothly transitionally connected, and the other side of the first arc surface is smoothly transitionally connected with the second cushion surface on the other side of the groove for supporting the anterior iliac spine of the human body through the third convex arc surface. The cushion surface cushions the patient to ensure the movement of the abdomen, so that the ventilation effect of the prone position is good. The strip-shaped support body is made of gel material, which can decompress and protect the skin of the patient's anterior iliac spine, effectively preventing the occurrence of pressure sores in the patient's anterior iliac spine. The support body of this structure is specially designed for critically ill patients, so that Prone position has good ventilation effect and high patient comfort.
本实用新型对俯卧位患者的髂前棘部皮肤进行减压保护，有效防止了髂前棘部压疮的产生，其使得俯卧位通气效果好，患者舒适度高。尤其对40岁以上的中老龄患者作用明显。The utility model decompresses and protects the skin of the anterior iliac spine of patients in the prone position, effectively prevents the generation of pressure sores in the anterior iliac spine, makes the prone position have good ventilation effect, and the patient has high comfort. Especially for middle-aged and elderly patients over 40 years old.
附图说明Description of drawings
图1为本实用新型的重症患者俯卧位机械通气治疗用髂前棘部防压疮装置的结构示意图；Fig. 1 is the structure schematic diagram of the anterior iliac spine anti-pressure sore device of the utility model for prone position mechanical ventilation treatment of critically ill patients;
图2为本实用新型的重症患者俯卧位机械通气治疗用髂前棘部防压疮装置的立体图；2 is a perspective view of the anterior iliac spine anti-pressure sore device of the utility model for prone position mechanical ventilation treatment of critically ill patients;
图3为图2的剖视图；Fig. 3 is the sectional view of Fig. 2;
图4为与本实用新型配套使用的设置在胸部的支撑体的结构示意图。Fig. 4 is a structural schematic diagram of a supporting body arranged on the chest used in conjunction with the utility model.
附图中，1为第一支撑体,11为让位凹槽，12为内凹的第一弧面，13为外凸的第二弧面，14为外凸的第三弧面，15为第一垫面，16为第二垫面,17为第一支撑体本体，18为硅胶膜，2为第二支撑体，21为第一拱形凸起，22为第二拱形凸起。In the accompanying drawings, 1 is the first support body, 11 is the relief groove, 12 is the first concave arc surface, 13 is the second convex arc surface, 14 is the third convex arc surface, and 15 is the The first pad, 16 is the second pad, 17 is the first support body, 18 is the silicone film, 2 is the second support, 21 is the first arched protrusion, and 22 is the second arched protrusion.
具体实施方式detailed description
参见图1和图3，一种重症患者俯卧位机械通气治疗用髂前棘部防压疮装置，包括由凝胶材料成型的第一支撑体1。所述第一支撑体的长度、高度、宽度可以设计成不同规格的，以适应不同体型的患者。第一支撑体为条形支撑体。所述第一支撑体的长度为45cm～65cm，高度为8cm～12cm。所述第一支撑体的宽度为10cm～17cm。本实施例所述第一支撑体的长度为50cm，高度为10cm。第一支撑体的宽度为15 cm。所述第一支撑体的上端中部设有让位凹槽11，所述让位凹槽的深度为6cm～10cm。本实施例所述让位凹槽的深度为8cm。第一支撑体的让位凹槽的深度指的是第一支撑体的上端面与其凹槽底端之间的距离H。该让位凹槽两端沿宽度方向贯穿支撑体，该凹槽包括位于凹槽底部的内凹的第一弧面12，所述第一弧面的一侧通过外凸的第二弧面13与凹槽一侧的用于支撑人体髂前棘部的第一垫面15平滑过渡连接，所述第一弧面的另一侧通过外凸的第三弧面14与凹槽另一侧的用于支撑人体髂前棘部的第二垫面16平滑过渡连接。所述第一支撑体可以采用硅胶成型而成。当然，所述第一支撑体还可以由凝胶材料成型成第一支撑体本体17，第一支撑体本体外包裹有硅胶膜18。所述凝胶材料为水凝胶或硅凝胶。1 and 3 , an anterior iliac spine anti-pressure sore device for critically ill patients undergoing mechanical ventilation in prone position includes a first support body 1 formed of gel material. The length, height and width of the first supporting body can be designed in different specifications, so as to adapt to patients of different sizes. The first support body is a strip support body. The length of the first support body is 45cm-65cm, and the height is 8cm-12cm. The width of the first support body is 10cm-17cm. The first support in this embodiment has a length of 50 cm and a height of 10 cm. The width of the first support is 15 cm. A relief groove 11 is provided in the middle of the upper end of the first support body, and the depth of the relief groove is 6cm-10cm. The depth of the relief groove in this embodiment is 8cm. The depth of the relief groove of the first support body refers to the distance H between the upper end surface of the first support body and the bottom end of the groove. Both ends of the relief groove pass through the support body along the width direction, and the groove includes a concave first arc surface 12 at the bottom of the groove, and one side of the first arc surface passes through a convex second arc surface 13 It is smoothly connected with the first pad surface 15 on one side of the groove for supporting the anterior iliac spine of the human body, and the other side of the first arc surface is connected to the other side of the groove through the convex third arc surface 14 The second pad surface 16 for supporting the anterior iliac spine of the human body is smoothly transitioned and connected. The first support body can be molded from silica gel. Certainly, the first support body can also be formed from a gel material into a first support body 17 , and the first support body is wrapped with a silicone membrane 18 . The gel material is hydrogel or silicone gel.
参见图4，在胸部对应位置可以设置一个与本实用新型第一支撑体1配套使用的第二支撑体2。第二支撑体2为长条形的支撑体。所述第二支撑体的长度、高度、宽度可以设计成不同规格的，以适应不同体型的患者。所述长条形的第二支撑体的上端面间隔设有两个用于分别支撑人体两侧肩部的拱形凸起，使第二支撑体的上端面上形成三个内凹的弧面，其中，内凹的第一弧面位于两个拱形凸起之间，内凹的第一弧面的两侧分别与两个拱形凸起之间平滑过渡连接，内凹的第二弧面、内凹的第三弧面分别位于两个拱形凸起的两侧，内凹的第二弧面与左侧的第一拱形凸起21之间平滑过渡连接，内凹的第三弧面与右侧的第二拱形凸起22之间平滑过渡连接。内凹的第二弧面、第三弧面用于分别放两侧肩部及手臂。内凹的第一弧面放置整个胸部上端。所述第二支撑体可以采用硅胶成型而成。当然，所述第二支撑体还可以由凝胶材料成型成第二支撑体本体，第二支撑体本体外包裹有硅胶膜。所述凝胶材料为水凝胶或硅凝胶。Referring to FIG. 4 , a second support body 2 used in conjunction with the first support body 1 of the present invention can be provided at a corresponding position on the chest. The second support body 2 is a strip-shaped support body. The length, height and width of the second supporting body can be designed in different specifications, so as to adapt to patients of different sizes. The upper end surface of the elongated second support body is provided with two arched protrusions for respectively supporting the shoulders on both sides of the human body, so that three concave arc surfaces are formed on the upper end surface of the second support body. , wherein the concave first arc surface is located between the two arched protrusions, the two sides of the concave first arc surface are respectively connected with the smooth transition between the two arched protrusions, and the concave second arc surface and the third concave arc surface are respectively located on both sides of the two arched protrusions, the second concave arc surface is connected with the first arch protrusion 21 on the left side with a smooth transition, and the third concave arc surface There is a smooth transition connection between the arc surface and the second arched protrusion 22 on the right. The concave second arc surface and the third arc surface are used to place the shoulders and arms on both sides respectively. The concave first curved surface places the entire upper end of the chest. The second support body can be molded from silica gel. Of course, the second support body can also be formed from a gel material into a second support body body, and the second support body body is wrapped with a silica gel membrane. The gel material is hydrogel or silicone gel.
所述第二支撑体的长度为50cm～75cm。本实施例的第二支撑体的长度为65cm。所述第二支撑体的宽度为10cm～20cm。本实施例的所述第二支撑体的宽度为15cm。所述第二支撑体的两个拱形凸起的高度为8cm～12cm。本实施例的两个拱形凸起的高度为10cm。The length of the second support body is 50cm-75cm. The length of the second support in this embodiment is 65 cm. The width of the second support body is 10cm-20cm. The width of the second support in this embodiment is 15 cm. The height of the two arched protrusions of the second supporting body is 8cm-12cm. The height of the two arched protrusions in this embodiment is 10cm.
在俯卧位通气时，可将本实用新型的第一支撑体放置在患者的髂前上棘，使患者的髂前棘部支撑在条形支撑体设置的第一垫面、第二垫面上，使患者腹部悬空，配合对应胸部的第二支撑体，支撑起人体两侧肩胛骨，使患者胸部和髂前上棘都被垫起，胸、腹部悬空，保证胸、腹部的活动，再配合头部支撑体，使患者头偏向一侧，保持呼吸道通畅，膝部、脚部等部位在必要时同样垫起使足趾悬空，通过各个支撑体的组合使用，可确保进行长时间卧位手术的病人术后无压疮产生，有利于病人的康复。When ventilating in the prone position, the first support body of the present invention can be placed on the patient's anterior superior iliac spine, so that the patient's anterior iliac spine is supported on the first pad surface and the second pad surface set by the strip support body , so that the patient's abdomen is suspended in the air, cooperate with the second supporting body corresponding to the chest, support the scapula on both sides of the human body, so that the patient's chest and anterior superior iliac spine are padded, the chest and abdomen are suspended to ensure the movement of the chest and abdomen, and then cooperate with the head The lower part of the support can make the patient's head tilt to one side to keep the airway unobstructed. When necessary, the knees, feet and other parts can also be padded so that the toes can be suspended in the air. The patient has no pressure sore after operation, which is conducive to the patient's recovery.
以上所述仅为本实用新型的优选实施例，并不用于限制本实用新型，显然，本领域的技术人员可以对本实用新型进行各种改动和变型而不脱离本实用新型的精神和范围。这样，倘若本实用新型的这些修改和变型属于本实用新型权利要求及其等同技术的范围之内，则本实用新型也意图包含这些改动和变型在内。The above descriptions are only preferred embodiments of the utility model, and are not intended to limit the utility model. Obviously, those skilled in the art can make various changes and modifications to the utility model without departing from the spirit and scope of the utility model. In this way, if these modifications and variations of the utility model fall within the scope of the claims of the utility model and equivalent technologies thereof, the utility model is also intended to include these modifications and variations.
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| CN201620537987.5U CN205994664U (en) | 2016-06-06 | 2016-06-06 | Spine portion pressure sore prevention device before patient with severe symptoms's prone position mechanical ventilation treatment ilium |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109820667A (en) * | 2019-03-27 | 2019-05-31 | 昆明医科大学第二附属医院 | A kind of anti-pressure protective nursing device after abdominal surgery |
| CN116035822A (en) * | 2022-12-22 | 2023-05-02 | 中山大学肿瘤防治中心（中山大学附属肿瘤医院、中山大学肿瘤研究所） | Prone position ventilation auxiliary operation equipment |
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- 2016-06-06 CN CN201620537987.5U patent/CN205994664U/en not_active Expired - Fee Related
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109820667A (en) * | 2019-03-27 | 2019-05-31 | 昆明医科大学第二附属医院 | A kind of anti-pressure protective nursing device after abdominal surgery |
| CN109820667B (en) * | 2019-03-27 | 2020-11-27 | 昆明医科大学第二附属医院 | A kind of anti-pressure protective nursing device after abdominal surgery |
| CN116035822A (en) * | 2022-12-22 | 2023-05-02 | 中山大学肿瘤防治中心（中山大学附属肿瘤医院、中山大学肿瘤研究所） | Prone position ventilation auxiliary operation equipment |
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